Diana Renee Sullivan, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

1120506 Issued in KY

Practice address

2250 Leestown Rd
Lexington, KY 40511-1052

Phone

(859) 233-4511

Fax

(859) 281-3928

NPI assigned

Dec 18, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1689910754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111052",
            "telephone_number": "859-233-4511",
            "fax_number": "859-281-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111052",
            "telephone_number": "859-233-4511",
            "fax_number": "859-281-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DIANA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KY",
            "license": "1120506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yousef Suleiman
• Becky Lynn Sullivan, PA
• Christina Marie Sullivan, M.D.
• Clarence Francis Sullivan III, PHARMD
• Daniel James Sullivan, DO
• Kelly Sue Sullivan
• Maureen A Sullivan, CRNA
• Michael Thomas Sullivan, D.C.
• Susan W Sullivan, CSW
• Tyler Blake Sullivan, PHARMD

• Case Management Registered Nurse in Lexington, KY
• Providers in Lexington, KY by specialty
• Case Management Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.